HomeMy WebLinkAbout06100066 Application
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City of Carmel/Clay Township . pI- \.J all Permit #: OCP} ()O{)~Co
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
J".r.
...w' C.
~
FAX:
~ 7;7-J>O/r
~ tilL
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STREET ADDRESS: , I,
S- .IH l'r: oNl/../ Cur pf/>
BUILDER'S EMAIL ADDRESS:
D "II L CO,vf
PROPERTY
OWNER:
NAME: PHONE:
BEST METHOD OF sPNTACT: 1/'
e-p1~/"'"
FAX:
STREET ADDRESS:
cm:
STATE:
ZIP:
SEWER UTILITY
PROVIDER:
SQUARE /') f7/ .
FOOTAGE: ~ '/4:?3
...:.,~, ESTIMATED COST OF CONSTRUcrrON:,
~, ~ (EXCLUDING LAND VALUE) {!60 .
? ,~'" ''''';> .~
NAME OF lJTILm EXCAVATION CONTRACroR; PLAN COMMISSION / BZA / BPW DOCKET'-'-0- \"
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANO/OR SEPTIC PERMITI#'s.(iF APPUCAElLE):", ' I "
/('... '-/ -.....:,/.........
FLOOD ZONE AREA DESIGNATION(S) j,{"'?'i1~) & If AX MAP PARCEL #:
FOR THIS PROPERTY: ~: '"
p^
/ \\...11
TYPE OF IMPROVEMENT: I
7<:::<1// ,
~ NEV'fi.!.~UCTURE&
o ROOM'AD~N(s)
o PORCi{lIQ Q~(S)
o DECK AD~~
o REMODEL_.~
_ Basement nish on
o ACCESSORY BUlL N
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
FOUNDATION TYPE: (Check all that apply for the new
M uf CW ~ cons~~ion area)
_Y XN Tal:~::;ED.~ CQNSTRUCTI~ CRAWLSPACE 0 POST&_BEAM_PIER
~ S ~\lJ.iH:ihlO compl~nlJ@"~lth all regulatio
Lot Split: _Y...n...N U of State ancftt)cal Codes. Di( ,,~LAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings.lalEE'~fl!OJfu~Q,M. S ~:t.n!!r~~t is valid only if construction commences within 180
days of the date of issuance of the bUildin~~~A~lle1.e~iCJi~iSSUed) -within 18 months ofche issuance date. Class I
structure permits are subject to the GeneraN\'d'rninil'(/ati*' RM~;~:n ~&.t.\tf Rf Indian~ (See 675 lAC 12) regarding expiration time frames for beginning and
~IRth'gk\mstructJ.on.
I, the undersigned agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by a licati n will comply with, and confonn to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 199J" (2-
289) and a en nts, ted under authority of IL 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen ath, flo rains are co ~~o the s ary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Dccu anc be ssuedb ~)t'l<-ent ommtc",c~r:r;:~j7 /Jcy6o--h J ./J-?--O(,
ature of Owner or Authorized Agent pri~ Date
SECTION:
ZONINp U-D
LOCATION
&. PROJECT
INFO:
WATER UTIUTY
PROVIDER:
TYPE OF CONSTRUCTION:
,
o SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc. \
PROJECT INFORMATION:
Early Release
Permit:
OFFICE USE ONLY: ************************************** *************~ ********** ****************
SPECTIONS REQUIRE . Filing Fees: =b). 30
Base Inspections: J /'l sO
oS 3 5~
# Charged Re-
Reviews
Cert. of Occupancy:
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits{Forms{ILP RESIDENTIAL
Additional Fees
P.R.I.F.: